Manager has an important role in the hospital because it directly related to the policy, system, procedure and climate of the organization. The manager’s success in managing the hospital is influenced by his competency and commitment because the hospital is a complex organization and difficult to be maintained. This study aims to assess the competency level of a manager, the typical needs of a hospital, the differences of level and competency needs and solutions to overcome the competency gap in a private hospital of Kulon Progo. This was an descriptive study with the quantitative and qualitative approaches. The primary data are obtained through the questionnaire and interview. The competency difference test is conducted with Wilcoxon Signed Rank Test. Most of the managers’ competencies are at the level of competence. The whole competency area is in the stage of important needs. The significant differences are in the whole competency area, except communication and information competency, and integrity and honesty competency. Those differences show that the managers’ competencies have not met the hospital’s competency requirements. It needs the management training which is in accordance with the target participant and includes all the hospital’s managers.
Managerial competence, Hospital management, Hospital Manager
Giddens, A. (1991). The Consequences of Modernity. Cambridge: Polity (publisher)..
Robertson, R. (1992). Globalization: Social Theory and Global Culture. London: Sage.
Departemen Perdagangan Republik Indonesia. (2009). Menuju ASEAN Economic Community 2015. Retrieved from
Kovačić, N. (2014). Globalization and the Impact of Globalization on the Health Industry. Interdisciplinary Management Research, 10, 684–695.
Yach, D., & Bettcher, D. (1998a). The globalization of public health, I: Threats and opportunities. American Journal of Public Health.
Yach, D., & Bettcher, D. (1998b). The globalization of public health, II: The convergence of self-interest and altruism. American Journal of Public Health.
Rivers, P. A., & Glover, S. H. (2008). Health care competition, strategic mission, and patient satisfaction: research model and propositions. Journal of Health Organization and Management, 22(6), 627–641.
Wallick, W. G. (2002). Healthcare managers’ roles, competencies, and outputs in organizational performance improvement. Journal of Healthcare Management / American College of Healthcare Executives. Retrieved from
Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open.
Stefl, M. E. (2008). Common competencies for all healthcare managers: the Healthcare Leadership Alliance model. Journal of Healthcare Management / American College of Healthcare Executives, 53(6), 360–374.
Spencer, L. M., & Spencer, S. M. (1993). Competence at Work : Models for Superior Performance. John Wiley & Sons, 1–372.
Long, N. H., Thien, D. D., Hiep, H. T., Chinh, V. Van, Cuong, N. D., Trang, N. M., & Hang, D. T. (2010). Need Assessment On Managerial Competency Development At Provincial And District Hospitals. Ministry of Health Department of Financing and Planning.
Pillay, R. (2008). Managerial competencies of hospital managers in South Africa: A survey of managers in the public and private sectors. Human Resources for Health, 6.
Khadka, D. K., Gurung, M., & Chaulagain, N. (2013). Managerial competencies – A survey of hospital managers’ working in Kathmandu valley, Nepal. Journal of Hospital Administration, 3(1).
Department of Public Service and Administration. (2003). Senior Management Service Public Service Handbook. Retrieved from
Strauss, Anselm L., Corbin, Juliet M. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, California: Sage Publications
Kementrian Kesehatan Republik Indonesia. (2009). Peraturan Menteri Kesehtan Republik Indonesia Nomor 971/MENKES/PER/XI/2009 Tentang Standar Kompetensi Pejabat Struktural Kesehatan. Jakarta: Menteri Kesehatan Republik Indonesia.
Prahalad, C. K. (1983). Developing strategic capability: An agenda for top management. Human Resource Management, 22(3), 237–254.
Darbi, W. P. K. (2012). Of Mission and Vision Statements and Their Potential Impact on Employee Behaviour and Attitudes: The Case of A Public But Profit-Oriented Tertiary Institution. International Journal of Business and Social Science, 3(14), 95–110.
Bora, B., Borah, S., & Wangchuk chungyalpa. (2017). Crafting Strategic Objectives: Examining the Role of Business Vision and Mission Statements. Journal of Entrepreneurship & Organization Management, 6(1), 1–6.
Papulova, Z. (2014). The Significance of Vision and Mission Development for Enterprises in Slovak Republic. Journal of Economics, Business and Management, 2(1), 12–16.
Kiptoo, J. K., & Mugambi Mwirigi, F. (2014). Factors That Influence Effective Strategic Planning Process In Organizations. IOSR Journal of Business and Management Ver. II, 16(6), 2319–7668.
Thamhain, H. J., & Wilemon, D. L. (1986). Criteria for Controlling Projects According to Plan. Project Management Journal, 17(2), 75–81.
Paramasivan, C., & Subramanian, T. (2009). Financial Management. India: New Age International
Dong, G. N. (2015). Performing well in financial management and quality of care: Evidence from hospital process measures for treatment of cardiovascular disease. BMC Health Services Research, 15(1).
Thompson, J. M. (2010). Understanding and managing organizational change: Implications for public health management. Journal of Public Health Management and Practice, 16(2), 167–173.
Asllani, A., & Luthans, F. (2003). What knowledge managers really do: an empirical and comparative analysis. Journal of Knowledge Management, 7(3), 53–66.
Ajmal, M. M., & Koskinen, K. U. (2008). Knowledge transfer in project-based organizations: An organizational culture perspective. Project Management Journal, 39(1), 7–15.
Bock, Zmud, Kim, & Lee. (2005). Behavioral Intention Formation in Knowledge Sharing: Examining the Roles of Extrinsic Motivators, Social-Psychological Forces, and Organizational Climate. MIS Quarterly, 29(1), 87.
Wang, S., & Noe, R. A. (2010). Knowledge sharing: A review and directions for future research. Human Resource Management Review, 20(2), 115–131.
Filerman, G. L. (2003). Closing the management competence gap. Human Resources for Health, 1.
Wang, S., Noe, R. a., & Wang, Z.-M. (2011). Motivating Knowledge Sharing in Knowledge Management Systems: A Quasi-Field Experiment. Journal of Management, 40(4), 978–1009.
West, M. A. (1990). The social psychology of innovation in groups. In Innovation and creativity at work: Psychological and organizational strategies (pp. 309–333).
Pratoom, K., & Savatsomboon, G. (2012). Explaining factors affecting individual innovation: The case of producer group members in Thailand. Asia Pacific Journal of Management, 29(4), 1063–1087.
Zennouche, M., Zhang, J., & Bo, W. W. (2014). Factors influencing innovation at individual, group and organisational levels: A content analysis. International Journal of Information Systems and Change Management, 7(1), 23–42.
Proctor, T. (2014). Creative problem solving for managers: developing skills for decision making and innovation. London: Routledge.
Kaymakçı, K., & Babacan, S. (2014). Employee empowerment in new public management approach and a research. European Journal of Research on Education, 62–70.
Cacioppe, R. (1998). Structured empowerment: an award-winning program at the Burswood Resort Hotel. Leadership & Organization Development Journal, 19(5), 264–274.
Narver, J. C., & Slater, S. F. (1990). The Effect of a Market Orientation on Business Profitability. Journal of Marketing, 54(4), 20.
Zhou, K. Z., Brown, J. R., & Dev, C. S. (2009). Market orientation, competitive advantage, and performance: A demand-based perspective. Journal of Business Research, 62(11), 1063–1070.
Purnell, L. D. T. (1999). Health care managers’ and administrators’ roles, functions, and responsibilities. Nursing Administration Quarterly, 23(3), 26–37 12p.
Leonard, M., Graham, S., & Bonacum, D. (2004). The human factor: The critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care. https://doi.org/10.1136/qshc.2004.010033
Mikkelson, A. C., York, J. A., & Arritola, J. (2015). Communication competence, leadership behaviors, and employee outcomes in supervisor-employee relationships. Business Communication Quarterly, 78(3), 336–354.
Ssonko, D. K. W. (2010). Ethics, Accountability, Transparence, Integrity and Professionalism in Public Service: The Case Study of Uganda. Enhancing Professionalization of Human Resource Management in the Public Service in Africa, 18. Retrieved from
Covey, S. R. (1989). The Seven Habits Of Highly Effective People. New York: Simon and Schuster
Vogelgesang, G. R., Leroy, H., & Avolio, B. J. (2013). The mediating effects of leader integrity with transparency in communication and work engagement/performance. Leadership Quarterly, 24(3), 405–413.
Ahmed, I., & Shabbrir, S. (2017). The Effects of Rewards on Employee’s Performance in Banks: A Study of Three Districts (Lodhran, Vehari, Khanewal) Commercial Banks in Pakistan. International Review of Management and Business Research, 352–361.
Aktar, S., Sachu, M. K., & Ali, E. (2012). The Impact of Rewards on Employee Performance in Commercial Banks of Bangladesh: An Empirical Study. IOSR Journal of Business and Management, 6(2), 9–15.